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Available Forms

Add Link to Web Page AJB Use Only-Neurology Task Apractis Clinic Library Access Request Confirm Updox Login ED Neuro Triage Form EPIC Login Southcoast Family Available for Consult Info Now Family Contact Information General Neurology Request General Neurology Request-with CCC contact Go To Assist Code Request Hospital Physician/Mid-Level Contact Dr Barbash Neuro 911 Physician Case Entry Nurse Ready for Neurology Case Other Hospital or Facility Neurology Advice (Physician/Mid-Level Use Only) Patient/Family Caregiver Registration Patient/Family Caregiver Request Virtual Care Podio Access Request Quick Mobile Secure Text for AJBMD Radiologist Report of Neuro Imaging Secure Message for Andrew Barbash, MD Setup Zoom Room Notification Form ShareFile Secure Folders Registration SOC Consult Center Message for Dr Barbash TPA Exclusion Form-TESTING ONLY Updox Clinician Invite Request-General Neurology Updox Connect Request Updox Healthcare Professional Registration Updox New Member Registration Updox User Login Request-SOC Physician VC-Florida-(Physician/Mid-Level Use Only) VC-Holy Cross Clinics (first time user) VC-Holy Cross Clinics (Returning User) VC-Maine VC-Massachusetts-Southcoast Hospitals (Physician/Mid-Level Use Only) VC-Neurology-Curbside Advice VC-North Carolina VC-Virginia (Physician/Mid-Level Use Only) Virtual Care Primary Care Patient Registration Virtual Clinic HelpDesk Neurology Advice-AJBMD Home Page Form Request Entry to My Zoom Video Room-AJBMD Virtual Care Request (Physician/Mid-Level Use Only) Web Message for Dr Barbash
Secure Message for Andrew Barbash, MD

These forms are NOT to be used by new patients or family members that I have not already consulted with.

Please use your PERSONAL mobile phone so that I can text message you reliably
Please provide your most commonly used email, one you check on your smartphone or at least regularly...and that will not likely change over time.
If you use any of these actively and I can find you on their network I will try to message back within that system. If not, I will text your mobile phone first.

PHYSICIANS and HEALTHCARE PROVIDERS...If this is a time sensitive issue about a Specialists on Call Telemedicine Case and I do not respond within a reasonable time, please call 855-216-1075 and the Consult Coordination Center staff can find me, or connect you with one of the other physicians.

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